1.1 Current evidence on the safety and efficacy of cyanoacrylate glue occlusion for varicose veins is limited in quantity and quality. Therefore, this procedure should only be used with special arrangements for clinical governance, consent and audit or research.
1.2 Clinicians wishing to use cyanoacrylate glue occlusion for varicose veins should:
Inform the clinical governance leads in their NHS trusts.
Ensure that patients understand the uncertainty about the procedure's safety and efficacy and provide them with clear written information. In addition, the use of NICE's information for the public is recommended.
Audit and review clinical outcomes of all patients having cyanoacrylate glue occlusion for varicose veins (a national register is currently under development).
1.3 Patient selection should be done by clinicians who can offer a range of treatment options in addition to cyanoacrylate glue occlusion.
1.4 This procedure should only be done by clinicians with specific training in this technique.
1.5 NICE may update the guidance on publication of further evidence.